积极心理暗示对骨科全身麻醉患者希望水平与应激反应的影响

The effect of positive psychological suggestion on the hope level and stress reaction of orthopedic general anesthesia patients

目的探讨积极心理暗示对骨科全身麻醉患者希望水平及应激反应的影响。方法选取2020年1—12月医院骨科全身麻醉手术患者160例,依据组间基线资料匹配的原则分为观察组及对照组,各80例。对照组行麻醉常规护理,观察组于麻醉前实施积极心理暗示干预,比较两组希望水平、不良情绪、应激反应及麻醉苏醒质量。结果干预后,观察组希望水平总评分高于对照组(P<0.05);观察组患者焦虑、抑郁情绪评分低于对照组(P<0.05)。麻醉诱导前(T0),两组血肾上腺素(AD)、皮质醇(CORT)、去甲肾上腺素(NE)比较,差异无统计学意义(P>0.05);T1~T3时段,对照组AD、CORT、NE水平高于观察组,差异有统计学意义(P<0.05)。观察组麻醉苏醒时间、术后拔除气管时间短于对照组,苏醒延迟、躁动发生率低于对照组,差异有统计学意义(P<0.05)。结论积极心理暗示能有效提高骨科全身麻醉患者围手术期希望水平,减轻患者围手术期不良情绪及应激反应,缩短患者麻醉复苏时间,降低躁动发生,提高患者麻醉安全性。

Objective The effect of positive psychological suggestion on the hope level and stress reaction of orthopedic general anesthesia patients.Methods To select 160 cases of orthopedic general anesthesia patients from January to December 2020 admitted in the hospital as the study objects,and according to the principle of balance and comparability between the basic data groups,they were divided into control group and observation group,with 80 cases in each group,with 80 cases in each group.The routine anesthesia care was applied to the control group,the positive psychological suggestion intervention was given to the observation group.The hope level,negative emotion,stress reaction and quality of anesthesia recovery of two groups were compared.Results After the intervention,the score of hope level of the observation group was higher than the control group(P<0.05),the anxiety and depression scores were lower than control group(P<0.05).The levels of blood adrenaline(AD),cortisol(CORT)and norepinephrine(NE)before the anesthesia(T0)between the two groups was not statistically significant(P>0.05).The levels of AD,CORT and NE of the control group was higher than the observation group from the anesthesia(T1)to the extubation(T3),the difference was statistically significant(P<0.05).The anesthesia recovery time and the noncooperation tracheal pulling out time of the observation group were short than the control group,the anesthesia recovery delay and incidence of agitation were lower than the control group,the difference was statistically significant(P<0.05).Conclusion The positive psychological suggestion improved the hope level of orthopedic general anesthesia patients,released the unhealthy emotion and stress reaction,shorten the anesthesia recovery time,alleviated the restlessness and enhanced the safety of anesthesia.